Individual
BARRY B PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
15235
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00882526
—
MS
05
—
100205675
—
MS
05
—
113777001
—
AR
05
—
Q016953
—
TN
Enumeration date
09/30/2005
Last updated
10/06/2022
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